KAEO VANG LCSW
NPI 1417595422
Counselor - Mental Health in Sacramento, CA

Q: What is Kaeo Vang's NPI number?

The NPI number for Kaeo Vang is 1417595422. It was assigned to this individual provider in the NPPES registry on December 20, 2019.

Q: What is Kaeo Vang's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kaeo Vang was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2019PECOS Enrolled

906 G ST OFC 539, SACRAMENTO, CA 95814(916) 341-3036 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2022, Dec 20, 2019 (2 updates tracked since 2019).

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About Kaeo Vang Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAEO VANG LCSW (NPI 1417595422) is an individual mental health provider in Sacramento, California, licensed in California (92178) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417595422

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKAEO VANGCredential: LCSW

Location Address906 G ST OFC 539Sacramento, CA 95814-1800

Mailing Address906 G St Ofc 539Sacramento, CA 95814-1800 · (916) 341-3036

Phone(916) 341-3036

Sole ProprietorNo

Enumeration DateDecember 20, 2019

Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2022

✔ NPI 1417595422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 92178

906 G ST OFC 539, Sacramento, CA 95814

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaeo Vang Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaeo Vang's NPI number?

The NPI number for Kaeo Vang is 1417595422. It was assigned to this individual provider in the NPPES registry on December 20, 2019.

Where is Kaeo Vang located?

Kaeo Vang practices at 906 G St Ofc 539, Sacramento, CA 95814. The listed phone number is (916) 341-3036.

What is Kaeo Vang's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kaeo Vang enrolled in Medicare?

Yes. Kaeo Vang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaeo Vang was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.